Anesthesiology

This concise compendium of topics pertinent to modern anesthesiology practice will be useful as a rapid reference for busy anesthesiology clinical practitioners, anesthesiology residents, medical students and others in training. Nurse anesthetists, anesthesiology assistants, perioperative nurses, post-operative intensive care personnel, and other allied health professionals caring for patients before and after anesthetic administration. The contents are offered in both text format as well as applications for smart devices, to be readily at hand in any clinical situation in any clincal location. The editor has drawn from a wide spectrum of expert authors from multiple institutions to compile approximately 480 two-page chapters, in template formats for easy-to-retrieve information. The content is organized into sections on important topics in physiology, pertinent issues for major co-existing diseases/co-existing conditions, key information for important surgical procedures, and guidance for managing a variety of complications encountered in anesthetic practice. In addition, this book contains a drug section in a condensed, easily accessible format with current information about anesthetic drugs and adjuvants, chronic medications that patients may be taking the perioperative period, and medications used to treat complications encountered in the peri-anesthetic period. As anesthesiology care extending to encompass toe spectrum from early evaluatin and optimization/management of preprocedural risk factors. Through post-proceduraminimizeo mininize subsequents complications and/or re-admission, every practitioner can benefit from timely acess to a "one-stop" content source to support evidence-based anesthesiology care. A source that concisely presents the most important concepts on a topic in an accessible manner.

The APICE 2013 yearbook examines recent advances in various aspects of critical care medicine and highlights the importance of effective communication among researchers, scientists, and clinicians. Among the many topics addressed are trauma care organization, the management of patients with cardiovascular, kidney, and lung disorders, issues relating to severe infections and sepsis, and the humanization of end of life care. The overriding goal of the book is to provide guidance and stimulate further thought on how professional performance in critical care medicine can be improved. Triple B translational research, from the bench to the bedside and back again (via the translation of clinical observations into new research questions), will play a major role in this context, and is particularly discussed in the chapter about sepsis and organ dysfunction. There is no doubt that the transfer of far-reaching and dynamic developments in molecular and cellular biology into clinical practice will be a key component in delivering the care required by individual patients.

Building on the success of previous editions, Anaesthesia and Intensive Care A-Z (Fifth edition) remains the most comprehensive single volume source of relevant aspects of pharmacology, physiology, anatomy, physics, statistics, medicine, surgery, general anaesthetic practice, intensive care, equipment, and the history of anaesthesia and intensive care. Originally prepared as essential reading for candidates for the Fellowship of the Royal College of Anaesthetists and similar exams, this fully updated edition will also prove as invaluable as ever for all anaesthetists and critical care phys.

Part 1. The respiratory pathway, lungs, thoracic wall and diaphragm -- part 2. The heart and great veins of the neck -- part 3. The vertebral canal and its contents -- part 4. The peripheral nerves -- part 5. The autonomic nervous system -- part 6. The cranial nerves -- part 7. Miscellaneous zones of interest -- part 8. The anatomy of pain.

The astonishing account of the decades-long cocaine use of Sigmund Freud and William Halsted. The author discusses the physical and emotional damage caused by the constant use of the then-heralded wonder drug, and of how each man ultimately changed the world in spite of it--or because of it.

The increased complexity of spinal surgical procedures in recent years has required more sophisticated anesthetic management of patients undergoing these procedures. Spine surgery anesthesia is now recognized as a distinct sub-specialty, increasingly undertaken by general anesthesiologists as well as neuroanesthesiologists. Ehab Farag describes the anesthetic management and surgical procedures at every vertebral level in both adult and pediatric patients. The most important related considerations are covered, including: Postoperative pain management. One lung ventilation during anterior thoracic spine surgery. Intraoperative neuromonitoring. Fluid management additional chapters review the radiological features of normal and abnormal spines, common complications of spine surgery and ASA closed claims relating to spine surgery anesthesia. Written by highly experienced neuroanesthesiologists and spine surgeons.

Anesthesia for Trauma is a comprehensive, clinically oriented text for practitioners and trainees in anesthesia, pain management, and critical care. It covers core topics, from initial assessment and blood and blood products, to the multi-trauma patient and trauma by major anatomical region. Burns receive especially extensive coverage. Special considerations when administering anesthesia to traumatically injured children, pregnant women, and older people are reviewed, as are foundational areas such as clinically relevant physiology and the growing role of trauma simulation in training. Readers will find leading edge coverage of microvascular surgery, pain management, and critical care of trauma patients as well as up-to-date chapters on trauma in the military, civilian trauma systems, and disaster management. The book concludes with a unique 'must-read' chapter for all clinicians on the link between substance abuse and penetrating trauma.

This is an up-to-date clinical reference on anesthesia for urological surgery. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. Urological anesthesia is not recognized as a subspecialty, and this book, which reflects the expertise of clinicians and researchers from around the United States and Europe, is written for the majority of anesthesiologists and nurse anesthetists who will provide anesthesia for these patients. The book includes coverage of these topics: Renal physiology and pharmacology Urologic anesthesia in all age groups, and in both the operating room and outpatient setting Special considerations in the pregnant patient and in renal transplantation Anesthesia for robotic surgery of the prostate In older patients, problems arising from co-morbidities and the risk of drug interactions Appropriate pain management in inpatient and outpatient settings The unique challenges of positioning the patient Medico-legal considerations, including analyses from the closed claims study

Loco-regional anesthesia presents definite advantages in almost all surgical branches, since it couples a perfect anesthesia with a long postoperative analgesia. This discipline is constantly developing thanks to new drugs and new techniques. In the last decade the advent of ultrasound guided regional anesthesia has extended the study from the anatomic room to the virtual but real "in corpore viri" ecographic image thus increasing the success rate of this type of anesthesia. Together with electrostimulation, it has definitely increased the success rate of loco-regional anesthesia. Nonetheless, though supported by new fundamental tools, it is of the utmost importance for anesthesiologists to have a deep knowledge of the brachial plexus and of the topographic anatomy, on which the two first chapters are focused. Featuring a total of 16 chapters and more than 140 color illustrations, the volume provides a detailed coverage of this technique, thus representing a very useful tool for specializing students as well anesthesiologists in their daily clinical practice.

"In recent years our understanding of molecular mechanisms of drug action and interindividual variability in drug response has grown enormously. Meanwhile, the practice of anesthesiology has expanded to the preoperative environment and numerous locations outside the OR. Anesthetic Pharmacology: Basic Principles and Clinical Practice, second edition, is an outstanding therapeutic resource in anesthesia and critical care: Section 1 introduces the principles of drug action, Section 2 presents the molecular, cellular and integrated physiology of the target organ/functional system and Section 3 reviews the pharmacology and toxicology of anesthetic drugs. The new Section 4, Therapeutics of Clinical Practice, provides integrated and comparative pharmacology and the practical application of drugs in daily clinical practice. Edited by three highly acclaimed academic anesthetic pharmacologists, with contributions from an international team of experts, and illustrated in full colour, this is a sophisticated, user-friendly resource for all practitioners providing care in the perioperative period"--Provided by publisher.

This is the first atlas to depict in high-resolution images the fine structure of the spinal canal, the nervous plexuses, and the peripheral nerves in relation to clinical practice. The Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine contains more than 1500 images of unsurpassed quality, most of which have never been published, including scanning electron microscopy images of neuronal ultrastructures, macroscopic sectional anatomy, and three-dimensional images reconstructed from patient imaging studies. Each chapter begins with a short introduction on the covered subject but then allows the images to embody the rest of the work; detailed text accompanies figures to guide readers through anatomy, providing evidence-based, clinically relevant information. Beyond clinically relevant anatomy, the book features regional anesthesia equipment (needles, catheters, surgical gloves) and overview of some cutting edge research instruments ℗ℓ(e.g. scanning electron microscopy and transmission electron microscopy).

All European countries, including those that have recently joined the European Union or are candidates for membership, currently show a clear trend towards an increasing number of accidental injuries. This holds true for a range of injuries, including accidents among the elderly, sports injuries, and trauma due to traffic accidents. The increase in the number of injuries is accompanied by rising expectations among patients, who anticipate good functional results even after serious injuries. Despite these developments, trauma surgery is not yet established as an independent field in all European countries. Against this background, there is a clear need for a book that covers the state of the art in trauma surgery. This volume, which focuses on bone and joint injuries orthopedic trauma is intended to help to meet this need. It will also serve to harmonize the practice of trauma surgery within the European Union and to prepare for the UEMS EBSQ trauma surgery.

From basic science to various anesthesia techniques to complications, the meticulously updated, fifth edition of Chestnut's Obstetric Anesthesia: Principles and Practice, covers all you need to know about obstetric anesthesia. An editorial team of leading authorities presents the latest on anesthesia techniques for labor and delivery and medical disorders that occur during pregnancy. New chapters and rewritten versions of key chapters cover topics such as psychiatric disorders in the pregnant patient, neurologic disorders, and critical care of obstetric patients. With online access to the full text, it is an invaluable, comprehensive reference textbook for specialists in obstetric anesthesiology and obstetricians, as well as anesthesiology and obstetric residents. This book also serves as a clear, user-friendly guide for both anesthesiologists and obstetricians who are in clinical practice. Emphasizes the treatment of the fetus and the mother as separate patients with distinct needs to ensure the application of modern principles of care. Delivers contributions from many leaders in the fields of obstetric anesthesia and maternal-fetal medicine from all over the world. Offers abundant figures, tables, and boxes that illustrate the step-by-step management of a full range of clinical scenarios. Presents key point summaries in each chapter for quick, convenient reference.

"The Handbook of Clinical Anesthesia, Seventh Edition, is a companion to the parent textbook, Clinical Anesthesia, Seventh Edition. This widely acclaimed reference parallels the textbook and presents content in a concise outline format with additional appendices. The Handbook makes liberal use of tables, graphics, and clinical pearls, to enhance rapid access of the subject matter. This comprehensive, pocket-sized reference guides you through virtually every aspect of perioperative, intraoperative, and postoperative patient care."--Provided by publisher.

Prepare for the oral boards with the thoroughly updated Clinical Cases in Anesthesia. This comprehensive and current anesthesia review tool presents case studies representing today's most commonly encountered clinical situations, equipping you to master the latest anesthesia treatment protocols and practice guidelines and achieve your very best score. Learn the most practical solutions to contemporary problems, and understand the relevant scientific and clinical principles, through actual case studies presented in a helpful Q&A format.Study on the go! Browse the complete contents online at www.expertconsult.com!

Ability to learn from errors is an essential aspect of the quest to improve treatment quality and patient safety. This book consists of 33 cases in anesthesiology that are based on real life situations and illuminate avoidable complications and mishaps. The cases are presented in a novel manner in that they are embedded within narratives. The reader comes to each case cold, without any clue as to the content, and each case comprises a narrative and a factual component that are interwoven. The narrative parts provide the reader with information and tips regarding the clinical problems and tasks that the protagonist must face and try to solve. The idea is to engage the reader emotionally while reading and to entertain him or her while learning. All cases conclude with short debriefing sections which include possible strategies to prevent similar errors or mishaps.

Comprehensive Guide to Education in Anesthesia is the first single-source volume on the current practice of teaching and learning in this specialty which has long been at the forefront of innovation in medical education. It is edited by one of the great anesthesiology educators in the United States and brings together contributions from leading educators from across the US covering all aspects of anesthesiology education, from medical school and post-graduate training to board certification and continuing medical education. Topics include best educational practices, closed claim analysis, giving feedback to superiors, residency and fellowship training and requirements, maintenance of certification, the role of simulation, interacting with other specialties, community and global outreach, and more. The book conveys the unique nature of the specialty and is aimed at medical students contemplating a career in anesthesiology, residents and fellows, educators, and administrators.

The worldwide prevalence of obesity has increased dramatically in recent years. Since the results of long-term dietary behavioral therapy remain sadly inadequate, surgery is currently the only effective treatment for patients with severe or morbid obesity. The numbers of weight loss operations continue to increase annually throughout the world. The anesthetic management of severely obese patients entails special challenges, especially when medical co-morbidities are present. Published outcome data on anesthetic care and pain management of these patients are scarce, and many practices remain controversial. Controversies in the Anesthetic Management of Obese Patients considers a wide range of important practical issues. Key questions in preoperative, intraoperative, and postoperative management are addressed, and different approaches are evaluated. Written by international leaders in the field, this book will be an invaluable aid for anesthesia care providers.

Ultrasounds, a much reflected system -- The doctor in front of the machine -- The doctor and the machine in front of the patient -- The doctor, the machine, and the patient in front of the screen -- Learning methods -- Self-training procedure.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

Drs. Fleisher and Roizen present a completely revised new edition that includes coverage of many new conditions, procedures, and drugs. This book makes it easy to formulate anesthesia plans through a consistent format and discussions of the problems, causes, comorbidities, and anesthesia implications for over 600 clinical topics. Quickly reference key information using the carefully templated text that highlights the most important anesthetic considerations in a consistent, user-friendly layout. Stay current on the latest anesthetic implications in regards to coexisting diseases, procedures, drugs, and alternative and complementary therapies, including coverage of mitochondrial myopathy, atrial fibrillation ablation, awake craniotomy, stereotactic neurosurgery, neuroprotection, dexmedetomidine, and other hot topics. Master the core knowledge of Anesthesia and overcome new factors in anesthetic care of patients with trusted reference in a high yield format.

This title in the Essentials of Anesthesia and Critical Care series presents core clinical neuroanesthesia and neurointesive care knowledge in a practical, user-friendly format. Provides the key neuroanesthesia and neurointensive care information you need from authorities you trust. Uses a concise, user-friendly format to help you locate answers quickly. Features key points boxes in each chapter to help you quickly access the most crucial information. Includes annotated references that guide you to the most relevant additional resources. Features a compact size and clinical emphasis that facilitates and enhances bedside patient care.

edited by Alan D. Kaye, M.D., Ph. D., Chairman and Director of Pain Services, Department of Anesthesiology, and Professor of Pharmacology, Louisiana State University School of Medicine, New Orleans, Louisiana, USA, Charles James Fox, M.D., Professor and Chair, Department of Anesthesiology, Louisiana State University School of Medicine, Shreveport, Louisiana, USA, James H. Diaz, M.D., M.P.H., Dr, P.H., D.A.B.A., F.A.A.P., Professor of Anesiology, Professor of Public Health and Preventive Medicine, and Director of Environmental and Occupational Health Sciences, Louisiana State University Sciences Center, New Orleans, Louisiana, USA.

1. Evidence-Based Practice Parameters : The Approach of the American Society of Anesthesiologists -- 2. Update on Preprocedure Testing -- 3. Is a Preoperative Screening Clinic Cost-Effective? -- 4. Who Should Have a Preoperative 12-Lead Electrocardiogram? -- 5. Is Routine Preoperative Pregnanc y Testing Necessary? -- 6. What Are the Risk Factors for Perioperative Stroke? -- 7. Should We Delay Surgery in the Patient with Recent Cocaine Use? -- 8. Should All Antihypertensive Agents Be Continued before Surgery? -- 9. What Is the Optimal Timing for Smoking Cessation? -- 10. Which Patient Should Have a Preoperative Cardiac Evaluation (Stress Test)? -- 11. Should Patients with Stable Coronary Artery Disease Undergo Prophylactic Revascularization before Noncardiac Surgery? -- 12. What Are the Role and Management of Percutaneous Coronary Intervention for Noncardiac Surgery? -- 13. How Should We Prepare the Patient with a Pacemaker/Implantable Cardioverter-Defibrillator? -- 14. When Should Pulmonary Function Tests Be Performed Preoperatively? -- 15. Does the Airway Examination Predict Difficult Intubation? -- 16. Is There a Best Approach for Patients with Difficult Airways : Regional versus General Anesthesia? -- 17. What Is the Optimal Airway Management in Patients Undergoing Gastrointestinal Endoscopy? -- 18. Is There a Best Approach to Induction of Anesthesia in Emergent Situations? -- 19. Do Inhalational Agents Have Beneficial or Harmful Effects on Ischemia-Reperfusion Injury? -- 20. Does Anesthetic Choice Affect Surgical and Recovery Times? -- 21. What Are the Benefits of Different Ventilatory Techniques? -- 22. Is There an Optimal Perioperative Hemoglobin Level? -- 23. When Are Platelets and Plasma Transfusions Indicated? -- 24. What Drugs Decrease Perioperative Bleeding? -- 25. Does Perioperative Hyperglycemia Increase Risk? Should We Have Aggressive Glucose Control Perioperatively? -- 26. When and Why Should Perioperative Glucocorticoid Replacement Be Administered? -- 27. Does the Choice of Fluid Matter in Major Surgery? -- 28. What Works in a Patient with Acute Respiratory Distress Syndrome? -- 29. What Actions Can Be Used to Prevent Peripheral Nerve Injury? 30. What Is the Best Means of Preventing Perioperative Renal Injury? -- 31. Does Nitrous Oxide Affect Outcomes? -- 32. Are Alpha-2 Agonists Effective in Reducing Perioperative Cardiac Complications in Noncardiac Surgery? -- 33. What Is the Role of Ketamine in Perioperative Management? -- 34. Should Hypothermia Be Used Routinely after Intraoperative Cardiac Arrest? -- 35. Which Are the Best Techniques for Reducing the Incidence of Postoperative Deep Vein Thrombosis? -- 36. Are There Special Techniques in Obese Patients? -- 37. Is There an Ideal Approach to the Patient Susceptible to Malignant Hyperthermia? -- 38. What Is the Best Strategy for Prevention of Postoperative Nausea and Vomiting? -- 39. How Should Beta-Blockers Be Used Perioperatively? -- 40. How Can We Prevent Postoperative Cognitive Dysfunction? -- 41. Do Intensive Care Specialists Improve Patient Outcomes? -- 42. Fast-Track Cardiac Anesthesia : What Works Best for Safety and Efficacy? -- 43. Can We Prevent Recall during Anesthesia? -- 44. Are Patients with Sleep Apnea Appropriate for Ambulatory Surgery? -- 45. What Criteria Should Be Used for Discharge after Outpatient Surgery? -- 46. What Must I Consider in Order to Safely Anesthetize Someone in the Office Setting? -- 47. Is Propofol Safe If Given by Nonanesthesia Providers? -- 48. Aspiration : Is There an Optimal Management Strategy? -- 49. Nonsteroidal Antiinflammatory Drugs, Antiplatelet Medications, and Spinal Axis Anesthesia -- 50. DVT Prophylaxis with Heparin and Heparin-Like Drugs (UH, LMWH, Fondaparinux, and Rivaroxaban) Used in Combination with Neuraxial Anesthesia and Deep Plexus Blocks -- 51. Is Regional Anesthesia Appropriate for Outpatient Surgery? -- 52. What Is the Best Technique for Hip Surgery? -- 53. Does Intraoperative Regional Anesthesia Decrease Perioperative Blood Loss? -- 54. What Is the Optimal Management of Postdural Puncture Headache? -- 55. Should Ultrasound Guidance Be the Standard of Practice for Peripheral Nerve Blockade? -- 56. Should Regional Anesthesia Be Used for Orthopedic Trauma Patients? -- 57. What Is the Best Method of Diagnosing Perioperative Myocardial Infarction? -- 58. Does Neurologic Electrophysiologic Monitoring Affect Outcome? -- 59. Is Regional Superior to General Anesthesia for Infrainguinal Revascularization? -- 60. Is There a Best Technique to Decrease Blood Loss and Transfusion after Coronary Artery Bypass Grafting? -- 61. Should Thoracic Epidural/Spinal Analgesia be Used for Coronary Artery Bypass Grafting? -- 62. Is There a Best Technique in the Patient with Increased Intracranial Pressure? -- 63. What Works for Brain Protection? -- 64. Anesthesia for Cesarean Delivery : Regional or General? -- 65. When Should a Combined Spinal-Epidural Be Used? 66. Does Labor Analgesia Affect Labor Outcome? -- 67. Does Anesthesia Increase the Risk to the Parturient Undergoing Nonobstetric Surgery? -- 68. How Young Is the Youngest Infant for Outpatient Surgery? -- 69. Should a Child with a Respiratory Tract Infection Undergo Elective Surgery? -- 70. When Should Regional Anesthesia Be Used in Pediatric Patients? -- 71. Optimal Postoperative Analgesia -- 72. Is Pre-Emptive Analgesia Clinically Effective?

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